Transcutaneous pacing: Experience with the zoll noninvasive temporary pacemaker

Madsen, Jan Kyst; Meibom, J; Videbak, Regitze; Pedersen, Flemming; Grande, Peer

doi:10.1016/0002-8703(88)90242-6

Cited by 29 publications

(7 citation statements)

References 5 publications

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“…The length of time that pacing wires were left in situ was longer for wires that developed local or systemic infection than those that did not (4 [1][2][3][4][5][6][7][8][9][10][11] …”

Section: Resultsmentioning

confidence: 99%

Regional survey of temporary transvenous pacing procedures and complications

Betts¹

2003

Postgraduate Medical Journal

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Objective: A prospective regional survey was carried out to describe the current practice of temporary transvenous pacing in five hospitals in the Wessex region and identify factors that predispose to complications. Methods: Data were collected on patient characteristics, pacing indication and setting, operator grade, training, experience and supervision, venous access, procedure time, duration of pacing, complications, and eventual outcome. Results: A total of 144 procedures were performed on 111 patients (age 75 (12) I nsertion of a temporary transvenous pacemaker may be performed as an urgent procedure in the setting of acute haemodynamic collapse secondary to bradyarrhythmias or tachyarrhythmias, or as a prophylactic measure in high risk patients undergoing interventional procedures.1 The procedure may be performed in a wide range of settings, by operators with varying skills, training, technical knowledge, and experience. 3Previous studies have demonstrated high complication rates with little change over the last two decades.3-6 Studies performed in the UK were carried out before the introduction of the specialist registrar training grade. The present study was undertaken to determine whether the incidence of complications has changed with increasing physician numbers and a greater emphasis on subspecialty training. Operator and technical factors were also examined to identify current practices that may influence procedure outcome. METHODSBetween January and September 1999 a prospective study was performed at five hospitals in the Wessex region (four district general hospitals and the regional cardiothoracic centre). All temporary pacing procedures were performed after obtaining informed consent from the patient unless their condition or the urgency of the occasion necessitated immediate pacing. After each pacing procedure, a physician completed a form which documented demographic details, the indication for pacing, who performed and who supervised the procedure, plus operator experience and subspecialty. If more than one operator performed the procedure the most senior physician present was noted. Operator seniority in ascending order was house officer, senior house officer, registrar, specialist registrar, staff grade, and consultant. Experienced physicians were those who had performed at least 20 temporary pacing procedures, inexperienced physicians were those who had performed less than 20 procedures. Cardiologists/cardiology trainees were defined as those specialist registrars who were in a cardiology training programme, or consultants who had a specialist interest in cardiology. Procedure details, including venous access site, procedure duration, fluoroscopy time, sterile techniques, patient cooperation, and immediate outcomes and complications were noted. Ease of venous access was categorised into "first pass at a single venous site", "multiple stabs at a single venous site", and "multiple venous sites attempted".The form accompanied the patient throughout the duration of the temporary pacemaker per...

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“…The length of time that pacing wires were left in situ was longer for wires that developed local or systemic infection than those that did not (4 [1][2][3][4][5][6][7][8][9][10][11] …”

Section: Resultsmentioning

confidence: 99%

Regional survey of temporary transvenous pacing procedures and complications

Betts¹

2003

Postgraduate Medical Journal

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“…TCP was found to be relatively safe and adverse events were limited to chest discomfort, which is similar to what has been seen in other clinical studies. 3,[9][10][11]13,14,22 The observed TCP mechanical capture rates of 88% are higher than previously reported rates of 19% in a controlled trial 3 and 86% in a case series. 10 The field logistics coordinator played an important role in stocking randomization envelopes and checking vehicles for research-related supplies once a month.…”

Section: Discussionmentioning

confidence: 91%

“…Given the chaotic nature of the prehospital setting, even if paramedics are willing and able to randomize patients, allocation may not be distributed equally across the control and treatment groups. While TCP appears to be safe in the hospital environment, 9,13,14 it might be less safe or less dependable in the field. Moreover, collecting reliable and valid data in this situation may be difficult.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled feasibility trial comparing safety and effectiveness of prehospital pacing versus conventional treatment: ‘PrePACE’

et al. 2008

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“…It has also proven to be of use in interhospital transport of patients with unstable arrhythmias 8 . Durations of cardiac pacing have been reported as long as 25 hours through the 1980s, but experience with pacing over 1 hour of duration is limited 6,9,10 . In the hospital, however, recommendations are that any patient thought to require more than 20–30 minutes of temporary pacing should have a transvenous wire inserted 11…”

Section: Discussionmentioning

confidence: 99%

Improvised Transvenous Cardiac Pacing during Operation Enduring Freedom

Handler¹,

Michaelis

Bruno

et al. 2011

Pacing Clinical Electrophis

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We report a case of combat cardiology at a military medical facility in Afghanistan. The patient had a high-degree heart block following inferior ST-elevation myocardial infarction requiring cardiac pacing. Transcutaneous pacing failed, leading to asystolic arrest during critical care air transport. An available transvenous pacing wire was soldered to leads from transcutaneous pacing pads allowing effective in-flight cardiac pacing until definitive therapy was available. This case demonstrates use of available resources under austere conditions, has the potential to inform physicians in similar circumstance, and addresses an area of need at military medical facilities.

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Transcutaneous pacing: Experience with the zoll noninvasive temporary pacemaker

Cited by 29 publications

References 5 publications

Regional survey of temporary transvenous pacing procedures and complications

Regional survey of temporary transvenous pacing procedures and complications

A randomized controlled feasibility trial comparing safety and effectiveness of prehospital pacing versus conventional treatment: ‘PrePACE’

Improvised Transvenous Cardiac Pacing during Operation Enduring Freedom

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